Provider Demographics
NPI:1255460622
Name:BHANDARI, VIJAY KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:KUMAR
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:322 PARNASSUS AVE
Mailing Address - Street 2:#7
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3732
Mailing Address - Country:US
Mailing Address - Phone:510-333-9635
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:1M3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8494
Practice Address - Fax:415-206-3012
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA98471207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine